Individual
MARLENE L CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
(207) 729-0181
(207) 729-1457
Mailing address
174 S FREEPORT RD, FREEPORT, ME 04032-6145
(207) 865-1819
(207) 865-4535
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
012505
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043461
ANTHEM
ME
01
—
1477640472
TRICARE
ME
01
—
1610384002
CIGNA
ME
01
—
B92955
HARVARD PILGRIM
ME
Enumeration date
10/10/2006
Last updated
07/13/2007
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